HomeMy WebLinkAboutOwners AffidavitI, hereby swear that I am the owner/contract purchaser of property involved in this application and that the foregoing
signatures, statements and answers herein contained and the information herewith submitted are in all respects true and
correct to the best of my knowledge and belief. I, the undersigned, authorize the applicant to act on my behalf with regard
to this application and subsequent hearings and testimony.
STATE OF INDIANA
SS:
Signed Name:
(Prrdperty Owner, Attorney, or Power of Attorney)
Printed Name: Ghhs2i
The undersigned, having been duly sworn upon oath says that the above information is true and correct and he is informed
and believes.
Oounty of
(Signature of Petitioner)
me the undersigned, a Notary Public
' (county in which notarization takes place)
for Z10 /2 _ ,'pr County, State of Indiana, personally appeared
/(Notary Public's county of residence)
and acknowledge the execution of the foregoing instrument
(Property Owner, Att ey, or Power of Attorney)
this / %/'06 day of ' / , 20�.
(day) month) (year)
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(SEAL)
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Notary Public --Please Print
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Page 12 of 12 Filename: use variance handout 2024 revised Revised 02-22-2024